Patient Forms

After Your Appointment is Scheduled

You will receive confirmation of your appointment via text with a link to fill out your patient intake forms. To make check-in easier with our new Electronic Medical Record (EMR) system, please download APPatient and complete your forms before your visit. Visit orthori.com/portal to download the app.

The Day of Your Appointment

If you haven’t filled out your patient intake forms and medical history on the APPatient app, we will provide a tablet during your visit to complete these forms.

If you use APPatient for contactless check-in, please let the front desk know when you arrive at the office.

For Patients Unable to Complete Electronic Forms

Our required patient intake forms are made available online. This allows you to print and complete them before your appointment.

You must have Adobe Acrobat Reader (or another PDF file reader) installed on your computer to view and print these documents. To get a free copy of Adobe Acrobat Reader click here.

Financial Agreement
Download

Self-Pay Policy
Download

Notice of Privacy Practices
Download

HIPAA Compliance Patient Consent Form
Download

Notice of Nondiscrimination
Go To Form

Authorization for Medical Record Release
Go to Form

Consent Email and Text Communication
Go to Form

Online scheduling is now available! Schedule, view, and reschedule your appointments by clicking the Online Scheduling button.
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